Jan 5, 2018 | Managed Care Friday
1. 80: Percent of non-emergent air ambulance transports, up from 64% last year, that will require pre-approval starting this year, based on a poll of 62 different health plans. There’s a hidden benefit: payers using the authorization process to intercept the next level of care (i.e. hospital or SNF) and diverting to a different option, if lower cost and better quality. 2. No More Reimbursement: Screenings are in and counseling out under a new Aetna policy taking effect this year. The MCO no longer reimburses evaluation and management services billed by some medical specialties, including...
